Search › Wisconsin › 2084N0400X
Jeffrey Blakesley, DO
NPI 1003378191 · on the registry since 2019
Practice
- Address
- 20 S Park St
Madison, WI 53715 - Phone
- (608) 287-2090
- Organisation at this address
- Madison Plastic Surgery Associates
Midwestern Center For Plastic Surgery
University Of Wisconsin Medical Foundation Inc
Midwest Plastic And Reconstructive Surgery, Inc.
University Of Wisconsin Hospitals & Clinics AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 116
Additional practice sites
- 600 Highland Ave, Madison, WI
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084N0402X
390200000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin